John R Diver, O.D.

NPI #1336586122 in Tulsa, Oklahoma

Provider Information

NPI Number: 1336586122
Entity Type: Individual
Name: John R Diver, O.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Optometrist
Credential: O.D.
Enumeration Date: Jun 3, 2013
Last Updated: Jan 22, 2019

Practice Location

Address: 4606 E. 67TH ST
Address 2: SUITE 400, BLDG. #7
City: Tulsa
State: Oklahoma
ZIP Code: 74136
Phone: (918) 949-9898

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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